Active NPI
Lazette Rose Harnish, LMT
- Specialist
- Portland, OR
National Provider Identifier
1376709014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11063
- Practice address
- 5160 NW Neakahnie Ave
#32
Portland, OR 97229-1932 - Phone
- (503) 530-8517
- NPI assigned
- Aug 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11063 | OR | Primary |
Addresses
Primary practice location
5160 NW Neakahnie Ave
#32
Portland, OR 97229-1932
Mailing address
6125 NE Cornell Rd
Suite 250
Hillsboro, OR 97124-6498
Phone (503) 530-8517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11063 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1376709014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 NE CORNELL RD",
"address_2": "SUITE 250",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971246498",
"telephone_number": "503-530-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 NW NEAKAHNIE AVE",
"address_2": "#32",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972291932",
"telephone_number": "503-530-8517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNISH",
"first_name": "LAZETTE",
"middle_name": "ROSE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "11063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.